Provider Demographics
NPI:1841441318
Name:ABINGTON CHIROPRACTIC, INC
Entity type:Organization
Organization Name:ABINGTON CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERFILIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-586-1166
Mailing Address - Street 1:535 NORTHERN BLVD
Mailing Address - Street 2:PO BOX 455
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9024
Mailing Address - Country:US
Mailing Address - Phone:570-586-1166
Mailing Address - Fax:570-586-1165
Practice Address - Street 1:535 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-9024
Practice Address - Country:US
Practice Address - Phone:570-586-1166
Practice Address - Fax:570-586-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC000893L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001640128OtherHIGHMARK BLUE SHIELD